Belton Regional Medical Center — Pricing

768 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 768 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 768
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 768 procedures

Procedures with negotiated rates only

These 768 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $60,603 – $218,778 · median $83,507 16 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $55,578 – $104,529 · median $64,767 16 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETER $48,190 – $106,637 · median $65,678 16 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $3,175 – $200,713 · median $98,920 16 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $3,175 – $197,513 · median $76,834 16 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $3,175 – $204,160 · median $87,336 16 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $3,175 – $106,637 · median $65,678 16 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $3,175 – $87,257 · median $61,743 16 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $3,175 – $111,715 · median $63,141 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $23,639 – $77,675 · median $42,773 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $18,937 – $94,885 · median $42,773 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $12,457 – $97,086 · median $27,956 16 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $43,943 · median $22,519 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $24,679 – $66,007 · median $35,995 16 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $9,672 – $30,342 · median $15,945 16 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $2,445 – $35,859 · median $17,838 16 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,434 – $35,859 · median $15,945 16 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ A $12,457 – $67,845 · median $37,558 16 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $51,354 · median $19,589 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $34,491 – $302,224 · median $43,601 15 plans
253 OTHER VASCULAR PROCEDURES WITH CC $26,789 – $60,006 · median $35,439 15 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $18,357 – $51,193 · median $33,104 15 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $15,426 – $42,773 · median $29,438 15 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $15,426 – $61,810 · median $24,159 15 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $22,381 – $43,783 · median $34,491 15 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $19,912 – $42,949 · median $26,453 15 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $15,926 – $42,949 · median $26,453 15 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $12,457 – $97,086 · median $50,263 15 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $12,457 – $54,458 · median $27,064 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,375 – $13,947 · median $8,894 15 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $6,180 – $18,098 · median $12,354 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,180 – $18,098 · median $12,354 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $6,180 – $18,098 · median $12,354 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $6,180 – $18,098 · median $12,354 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,180 – $18,098 · median $12,354 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $6,180 – $18,098 · median $12,354 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,157 – $13,947 · median $9,061 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,157 – $13,947 · median $9,061 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,157 – $13,947 · median $9,061 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,157 – $13,947 · median $9,061 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,157 – $13,947 · median $9,061 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,157 – $13,947 · median $9,061 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $13,357 – $140,030 · median $75,147 11 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $142,470 · median $101,269 11 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $142,470 · median $75,147 11 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA $60,603 – $142,470 · median $75,147 11 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $3,175 – $84,447 · median $60,603 11 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $3,175 – $84,447 · median $60,603 11 plans
245 AICD GENERATOR PROCEDURES $34,491 – $67,996 · median $42,773 11 plans
265 AICD LEAD PROCEDURES $34,491 – $67,996 · median $37,431 11 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $34,491 – $145,233 · median $74,154 11 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $60,603 – $145,233 · median $75,147 11 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $48,812 – $145,233 · median $60,603 11 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,445 – $21,642 · median $15,444 11 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $7,608 – $26,210 · median $12,457 11 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $12,457 – $54,750 · median $15,444 11 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $12,457 – $44,504 · median $15,444 11 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $12,457 – $44,504 · median $15,444 11 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $28,582 – $44,926 · median $33,545 10 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $60,603 – $85,705 · median $68,478 10 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $43,658 – $75,147 · median $60,603 10 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $53,861 – $75,147 · median $61,286 10 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $36,142 – $75,147 · median $60,603 10 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $26,256 – $75,147 · median $60,603 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $28,582 – $64,312 · median $37,228 10 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES $28,582 – $42,180 · median $34,531 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $49,814 – $182,355 · median $112,750 9 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $49,814 – $137,500 · median $91,298 9 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WIT $49,814 – $137,500 · median $70,750 9 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $49,814 – $145,193 · median $107,210 9 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $49,814 – $137,500 · median $70,318 9 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $49,814 – $137,500 · median $108,863 9 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $49,814 – $137,500 · median $73,774 9 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EX $45,309 – $137,500 · median $68,882 9 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,445 – $30,000 · median $20,588 9 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,445 – $30,000 · median $10,818 9 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $9,436 – $30,000 · median $14,386 8 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $41,051 – $137,500 · median $56,642 8 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALL $49,814 – $116,715 · median $70,352 7 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $35,492 – $71,085 · median $51,439 7 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY $49,814 – $89,653 · median $54,040 7 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $32,381 – $53,721 · median $39,667 7 plans
472 CERVICAL SPINAL FUSION WITH CC $30,274 – $37,241 · median $31,209 7 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $24,841 – $35,832 · median $30,431 7 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,445 – $32,586 · median $14,969 7 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,445 – $16,556 · median $13,515 7 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,445 – $14,969 · median $10,041 7 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,445 – $14,969 · median $12,077 7 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,445 – $14,969 · median $6,682 7 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,129 – $25,684 · median $17,301 7 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $3,175 – $144,076 · median $94,101 6 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,175 – $144,076 · median $64,523 6 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/ $3,175 – $144,076 · median $41,212 6 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,175 – $95,814 · median $66,599 6 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WI $3,175 – $95,814 · median $44,379 6 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $3,175 – $57,487 · median $45,208 6 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $3,175 – $53,866 · median $41,357 6 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,175 – $38,741 · median $24,930 6 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,175 – $38,741 · median $18,625 6 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $3,129 – $49,985 · median $39,524 6 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,129 – $38,243 · median $26,555 6 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,129 – $38,243 · median $21,399 6 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $3,129 – $42,687 · median $27,328 6 plans
038 EXTRACRANIAL PROCEDURES WITH CC $3,129 – $20,712 · median $17,616 6 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,129 – $19,810 · median $13,287 6 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,129 – $38,327 · median $20,517 6 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,445 – $32,188 · median $18,238 6 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,445 – $17,152 · median $12,101 6 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,445 – $23,727 · median $14,785 6 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,445 – $15,728 · median $11,520 6 plans
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,445 – $11,471 · median $9,400 6 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,436 – $34,750 · median $28,367 6 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,436 – $32,961 · median $18,687 6 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC A $9,436 – $32,961 · median $14,741 6 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $9,436 – $32,961 · median $20,873 6 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $9,436 – $32,961 · median $10,670 6 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $7,222 – $32,961 · median $9,142 6 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $9,436 – $18,701 · median $15,266 6 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $9,250 – $16,365 · median $9,819 6 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $8,395 – $16,624 · median $9,819 6 plans
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,436 – $13,399 · median $10,623 6 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,445 – $19,876 · median $13,213 6 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,445 – $12,827 · median $10,336 6 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,445 – $10,201 · median $7,783 6 plans
089 CONCUSSION WITH CC $8,572 – $13,781 · median $10,725 6 plans
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,445 – $13,609 · median $10,655 6 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,445 – $10,201 · median $8,859 6 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,129 – $21,448 · median $15,975 6 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $12,606 – $30,992 · median $19,870 6 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $8,536 – $18,362 · median $11,907 6 plans
149 DYSEQUILIBRIUM $7,844 – $10,500 · median $9,522 6 plans
163 MAJOR CHEST PROCEDURES WITH MCC $3,129 – $59,247 · median $31,403 6 plans
164 MAJOR CHEST PROCEDURES WITH CC $3,129 – $32,354 · median $20,426 6 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,129 – $23,960 · median $17,000 6 plans
180 RESPIRATORY NEOPLASMS WITH MCC $9,436 – $22,466 · median $16,809 6 plans
181 RESPIRATORY NEOPLASMS WITH CC $9,436 – $15,278 · median $11,650 6 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $8,788 – $15,278 · median $9,819 6 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,445 – $15,906 · median $11,593 6 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $9,436 – $20,806 · median $11,784 6 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $9,015 – $20,806 · median $9,819 6 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,791 – $20,806 · median $8,878 6 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,436 – $23,371 · median $13,827 6 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $8,604 – $18,666 · median $9,819 6 plans
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $6,534 – $10,201 · median $8,715 6 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $9,436 – $18,066 · median $10,172 6 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $7,309 – $17,137 · median $9,195 6 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $2,445 – $10,425 · median $8,973 6 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $87,532 – $317,476 · median $123,679 6 plans
291 HEART FAILURE AND SHOCK WITH MCC $13,691 – $28,344 · median $16,550 6 plans
292 HEART FAILURE AND SHOCK WITH CC $9,037 – $28,344 · median $13,699 6 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,758 – $28,344 · median $11,691 6 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,436 – $15,785 · median $12,885 6 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $8,287 – $13,150 · median $9,794 6 plans
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,874 – $14,258 · median $11,495 6 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $7,486 – $14,258 · median $10,022 6 plans
302 ATHEROSCLEROSIS WITH MCC $2,445 – $14,953 · median $11,204 6 plans
303 ATHEROSCLEROSIS WITHOUT MCC $2,445 – $10,201 · median $7,849 6 plans
304 HYPERTENSION WITH MCC $9,436 – $15,101 · median $12,200 6 plans
305 HYPERTENSION WITHOUT MCC $7,877 – $12,072 · median $9,543 6 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,445 – $15,501 · median $11,427 6 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $7,757 – $13,645 · median $9,469 6 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,871 – $13,645 · median $8,314 6 plans
311 ANGINA PECTORIS $7,327 – $14,716 · median $9,206 6 plans
313 CHEST PAIN $7,486 – $13,049 · median $9,676 6 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $13,357 – $65,286 · median $40,528 6 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,129 – $20,483 · median $15,581 6 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,129 – $59,024 · median $31,312 6 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,129 – $30,383 · median $19,622 6 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,129 – $21,222 · median $15,882 6 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $3,129 – $27,152 · median $18,303 6 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,129 – $19,732 · median $15,274 6 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $13,210 – $16,182 · median $13,807 6 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $9,243 – $14,441 · median $12,340 6 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,367 – $19,339 · median $15,114 6 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $13,357 – $21,866 · median $16,189 6 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $13,357 – $17,137 · median $14,215 6 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $9,436 – $21,466 · median $15,313 6 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,436 – $13,102 · median $10,678 6 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $7,324 – $13,102 · median $9,204 6 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $9,436 – $22,469 · median $15,722 6 plans
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,436 – $13,231 · median $10,800 6 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $7,612 – $13,102 · median $9,380 6 plans
374 DIGESTIVE MALIGNANCY WITH MCC $2,445 – $27,140 · median $16,178 6 plans
375 DIGESTIVE MALIGNANCY WITH CC $2,445 – $15,794 · median $11,547 6 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,445 – $11,350 · median $9,351 6 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,445 – $23,371 · median $14,640 6 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,436 – $12,673 · median $10,345 6 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $6,681 – $11,045 · median $8,810 6 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $9,125 – $11,178 · median $9,819 6 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,445 – $20,885 · median $13,625 6 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,445 – $12,758 · median $10,308 6 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,445 – $10,201 · median $7,825 6 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,445 – $18,894 · median $12,812 6 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $8,411 – $10,304 · median $9,819 6 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,742 – $10,232 · median $8,235 6 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,436 – $14,386 · median $13,744 6 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,332 – $12,100 · median $9,877 6 plans
397 APPENDIX PROCEDURES WITH MCC $13,357 – $31,850 · median $21,398 6 plans
398 APPENDIX PROCEDURES WITH CC $13,357 – $19,451 · median $15,878 6 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,792 – $16,796 · median $13,899 6 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $13,357 – $45,038 · median $33,204 6 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,357 – $27,104 · median $20,756 6 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $13,357 – $27,104 · median $14,409 6 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $13,357 – $64,660 · median $37,035 6 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,445 – $25,182 · median $15,379 6 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,445 – $13,751 · median $10,713 6 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,445 – $10,201 · median $8,131 6 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,445 – $23,453 · median $14,673 6 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,445 – $14,496 · median $11,017 6 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,445 – $10,201 · median $8,838 6 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $9,436 – $21,385 · median $17,457 6 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $9,026 – $19,211 · median $9,819 6 plans
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $6,454 – $19,211 · median $8,671 6 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,445 – $12,420 · median $10,138 6 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT C $2,445 – $10,201 · median $8,203 6 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,445 – $13,940 · median $10,790 6 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,445 – $10,249 · median $8,901 6 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $42,666 – $78,881 · median $65,242 6 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $30,050 – $71,451 · median $39,739 6 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $45,064 – $65,486 · median $53,458 6 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $35,941 – $57,125 · median $44,546 6 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $27,526 – $57,125 · median $39,392 6 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC $34,299 – $57,125 · median $40,046 6 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT $30,569 – $57,125 · median $34,528 6 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,184 – $25,263 · median $20,054 6 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $12,995 – $19,486 · median $15,051 6 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $22,758 – $30,863 · median $24,898 6 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,321 – $45,254 · median $27,433 6 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,321 – $25,361 · median $19,314 6 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WIT $12,321 – $17,925 · median $15,334 6 plans
501 SOFT TISSUE PROCEDURES WITH CC $13,357 – $22,941 · median $16,584 6 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,357 – $17,960 · median $14,551 6 plans
503 FOOT PROCEDURES WITH MCC $15,628 – $34,019 · median $23,628 6 plans
504 FOOT PROCEDURES WITH CC $15,628 – $22,559 · median $18,415 6 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $15,628 – $22,559 · median $18,415 6 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $16,198 – $36,738 · median $26,810 6 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,198 – $25,209 · median $21,218 6 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/ $16,198 – $23,630 · median $18,769 6 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,566 – $19,353 · median $15,120 6 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $10,699 – $14,441 · median $12,336 6 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,033 – $34,594 · median $23,484 6 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MC $13,033 – $34,594 · median $17,425 6 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROST $26,857 – $46,069 · median $33,773 6 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $20,691 – $29,940 · median $26,102 6 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $30,584 – $57,125 · median $37,976 6 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $22,120 – $57,125 · median $32,792 6 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,445 – $23,974 · median $14,886 6 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,445 – $13,637 · median $10,667 6 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH $2,445 – $10,201 · median $8,683 6 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,445 – $32,481 · median $18,358 6 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,445 – $14,881 · median $11,174 6 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,445 – $10,201 · median $8,633 6 plans
551 MEDICAL BACK PROBLEMS WITH MCC $13,824 – $23,478 · median $19,811 6 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $10,113 – $13,824 · median $11,796 6 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,436 – $17,309 · median $12,895 6 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,568 – $11,660 · median $9,819 6 plans
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,445 – $19,920 · median $13,231 6 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,445 – $11,103 · median $9,250 6 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,129 – $34,228 · median $21,191 6 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,129 – $21,728 · median $16,089 6 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,129 – $21,115 · median $15,839 6 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,445 – $13,897 · median $10,773 6 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,129 – $19,401 · median $15,139 6 plans
637 DIABETES WITH MCC $9,436 – $18,719 · median $15,281 6 plans
638 DIABETES WITH CC $9,436 – $11,790 · median $9,913 6 plans
639 DIABETES WITHOUT CC/MCC $6,575 – $10,648 · median $8,745 6 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH M $2,445 – $17,070 · median $12,068 6 plans
644 ENDOCRINE DISORDERS WITH CC $2,445 – $13,283 · median $10,522 6 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,445 – $10,201 · median $8,803 6 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $14,061 – $30,979 · median $21,689 6 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $10,772 – $26,153 · median $16,283 6 plans
669 TRANSURETHRAL PROCEDURES WITH CC $13,357 – $19,892 · median $15,339 6 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $10,028 – $14,441 · median $12,821 6 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,445 – $15,043 · median $11,241 6 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $9,436 – $21,606 · median $17,469 6 plans
709 PENIS PROCEDURES WITH CC/MCC $3,129 – $28,884 · median $19,010 6 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $3,129 – $19,299 · median $15,098 6 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,129 – $18,587 · median $14,807 6 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $9,860 – $17,231 · median $12,718 6 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MC $3,129 – $52,169 · median $45,014 6 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $19,079 – $26,985 · median $22,396 6 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT $14,413 – $23,216 · median $19,538 6 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $19,003 – $25,409 · median $21,324 6 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $12,578 – $18,287 · median $15,718 6 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,129 – $25,117 · median $17,472 6 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $14,295 – $21,927 · median $16,484 6 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,445 – $14,269 · median $10,925 6 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,445 – $12,276 · median $10,021 6 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,436 – $18,192 · median $14,851 6 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $9,436 – $15,297 · median $10,696 6 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,716 – $15,297 · median $8,831 6 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,382 – $12,669 · median $10,271 6 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,652 – $10,201 · median $8,265 6 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $7,657 – $14,441 · median $12,324 6 plans
811 RED BLOOD CELL DISORDERS WITH MCC $2,445 – $18,084 · median $12,482 6 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,445 – $20,155 · median $13,327 6 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,445 – $13,521 · median $10,619 6 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $3,129 – $64,287 · median $33,460 6 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,129 – $20,896 · median $15,749 6 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,129 – $57,992 · median $30,891 6 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,129 – $28,008 · median $18,652 6 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,129 – $16,561 · median $13,519 6 plans
865 VIRAL ILLNESS WITH MCC $9,436 – $18,971 · median $13,206 6 plans
866 VIRAL ILLNESS WITHOUT MCC $6,645 – $11,373 · median $9,360 6 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $2,445 – $89,419 · median $41,598 6 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $13,357 – $69,359 · median $56,619 5 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $13,357 – $52,749 · median $43,060 5 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $13,357 – $34,063 · median $27,807 5 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $32,094 – $43,488 · median $39,315 5 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,895 – $43,488 · median $31,721 5 plans
028 SPINAL PROCEDURES WITH MCC $33,048 – $78,146 · median $63,792 5 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $33,048 – $43,147 · median $35,222 5 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $23,351 – $35,728 · median $28,605 5 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $35,452 – $48,487 · median $39,581 5 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHE $23,695 – $38,327 · median $29,027 5 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $9,436 – $25,869 · median $21,117 5 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $9,436 – $11,844 · median $9,668 5 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,436 – $19,269 · median $15,730 5 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $9,436 – $14,024 · median $11,448 5 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $9,436 – $22,351 · median $18,245 5 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $9,436 – $13,547 · median $11,059 5 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $7,872 – $10,201 · median $9,436 5 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $9,436 – $19,867 · median $16,218 5 plans
075 VIRAL MENINGITIS WITH CC/MCC $9,436 – $22,140 · median $18,073 5 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,436 – $11,786 · median $9,621 5 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $9,436 – $25,551 · median $20,858 5 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $9,436 – $11,630 · median $9,494 5 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $24,346 – $29,824 · median $25,574 5 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $14,590 – $19,332 · median $17,872 5 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $10,032 – $12,491 · median $11,554 5 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $23,777 – $29,283 · median $27,087 5 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $13,763 – $17,057 · median $15,778 5 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $9,276 – $11,363 · median $10,105 5 plans
088 CONCUSSION WITH MCC $9,436 – $18,133 · median $14,803 5 plans
090 CONCUSSION WITHOUT CC/MCC $8,996 – $11,020 · median $9,436 5 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $9,436 – $23,432 · median $19,128 5 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $9,436 – $46,900 · median $38,286 5 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $9,436 – $30,814 · median $25,154 5 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $9,436 – $30,814 · median $25,154 5 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $9,436 – $46,076 · median $37,613 5 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $9,436 – $27,884 · median $22,763 5 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,436 – $17,910 · median $14,620 5 plans
100 SEIZURES WITH MCC $9,436 – $25,519 · median $20,832 5 plans
101 SEIZURES WITHOUT MCC $9,436 – $11,848 · median $9,671 5 plans
102 HEADACHES WITH MCC $9,436 – $10,789 · median $10,789 5 plans
103 HEADACHES WITHOUT MCC $9,436 – $10,789 · median $10,789 5 plans
113 ORBITAL PROCEDURES WITH CC/MCC $13,357 – $29,006 · median $23,679 5 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $12,404 – $15,195 · median $13,357 5 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $13,357 – $19,680 · median $16,065 5 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $11,318 – $14,441 · median $13,357 5 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,436 – $14,952 · median $12,206 5 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $7,117 – $10,201 · median $8,719 5 plans
123 NEUROLOGICAL EYE DISORDERS $8,428 – $10,324 · median $9,436 5 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,436 – $16,760 · median $13,682 5 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,664 – $10,614 · median $9,436 5 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $10,264 – $14,441 · median $12,574 5 plans
137 MOUTH PROCEDURES WITH CC/MCC $13,357 – $17,978 · median $14,676 5 plans
139 SALIVARY GLAND PROCEDURES $13,357 – $17,649 · median $14,407 5 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $13,357 – $54,362 · median $44,377 5 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $13,357 – $27,617 · median $22,544 5 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,357 – $20,212 · median $16,499 5 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $13,357 – $42,443 · median $34,647 5 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $13,357 – $22,581 · median $18,433 5 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $12,432 – $15,229 · median $13,357 5 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $9,436 – $29,488 · median $24,072 5 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,436 – $16,001 · median $13,062 5 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,402 – $10,292 · median $9,436 5 plans
150 EPISTAXIS WITH MCC $9,436 – $17,767 · median $14,503 5 plans
151 EPISTAXIS WITHOUT MCC $7,954 – $10,201 · median $9,436 5 plans
152 OTITIS MEDIA AND URI WITH MCC $9,436 – $14,587 · median $11,908 5 plans
153 OTITIS MEDIA AND URI WITHOUT MCC $7,468 – $10,201 · median $9,148 5 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $9,436 – $20,905 · median $17,065 5 plans
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $9,436 – $12,001 · median $9,796 5 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $7,055 – $10,201 · median $8,643 5 plans
157 DENTAL AND ORAL DISEASES WITH MCC $9,436 – $21,048 · median $17,182 5 plans
158 DENTAL AND ORAL DISEASES WITH CC $9,436 – $12,091 · median $9,870 5 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,921 – $10,201 · median $8,479 5 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $13,357 – $49,492 · median $40,401 5 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,357 – $23,487 · median $19,173 5 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,357 – $17,403 · median $14,207 5 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY $13,357 – $39,444 · median $32,199 5 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $9,436 – $18,113 · median $14,786 5 plans
176 PULMONARY EMBOLISM WITHOUT MCC $8,547 – $10,470 · median $9,436 5 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $9,436 – $20,779 · median $16,962 5 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $9,436 – $12,753 · median $10,410 5 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,076 – $10,201 · median $9,436 5 plans
183 MAJOR CHEST TRAUMA WITH MCC $9,436 – $20,403 · median $16,656 5 plans
184 MAJOR CHEST TRAUMA WITH CC $9,436 – $13,729 · median $11,208 5 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,160 – $10,201 · median $9,436 5 plans
186 PLEURAL EFFUSION WITH MCC $9,436 – $20,309 · median $16,579 5 plans
187 PLEURAL EFFUSION WITH CC $9,436 – $12,905 · median $10,535 5 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,704 – $10,201 · median $9,436 5 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $9,436 – $24,218 · median $19,770 5 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $9,436 – $12,726 · median $10,388 5 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $7,349 – $10,201 · median $9,003 5 plans
199 PNEUMOTHORAX WITH MCC $9,436 – $22,691 · median $18,523 5 plans
200 PNEUMOTHORAX WITH CC $9,436 – $14,236 · median $11,621 5 plans
201 PNEUMOTHORAX WITHOUT CC/MCC $7,105 – $10,201 · median $8,703 5 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $9,436 – $24,266 · median $19,809 5 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $9,436 – $11,643 · median $9,505 5 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $9,436 – $83,129 · median $67,860 5 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $9,436 – $34,498 · median $28,161 5 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $13,357 – $64,744 · median $52,852 5 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $13,357 – $37,433 · median $30,558 5 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC $13,357 – $19,408 · median $15,843 5 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $13,357 – $33,633 · median $27,455 5 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $13,357 – $21,771 · median $17,772 5 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $9,359 – $14,441 · median $11,465 5 plans
263 VEIN LIGATION AND STRIPPING $16,523 – $34,476 · median $28,143 5 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $62,862 – $163,642 · median $77,006 5 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $49,366 – $122,872 · median $60,474 5 plans
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $20,518 – $53,590 · median $25,135 5 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $7,775 – $53,590 · median $9,525 5 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,891 – $53,590 · median $7,216 5 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $28,662 – $45,472 · median $35,111 5 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $16,544 – $45,472 · median $20,267 5 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $10,273 – $45,472 · median $12,584 5 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $9,436 – $21,060 · median $17,192 5 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $7,391 – $10,201 · median $9,054 5 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,635 – $10,201 · median $5,678 5 plans
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,874 – $20,793 · median $16,974 5 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,436 – $19,248 · median $15,712 5 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $9,436 – $11,908 · median $9,721 5 plans
312 SYNCOPE AND COLLAPSE $9,143 – $11,200 · median $9,436 5 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $9,436 – $27,681 · median $22,597 5 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,436 – $12,369 · median $10,097 5 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $7,164 – $10,201 · median $8,775 5 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $64,914 – $95,087 · median $79,520 5 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $46,094 – $71,241 · median $56,465 5 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $24,289 – $40,786 · median $29,754 5 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $13,357 – $31,211 · median $25,478 5 plans
332 RECTAL RESECTION WITH MCC $13,357 – $44,587 · median $36,397 5 plans
333 RECTAL RESECTION WITH CC $13,357 – $27,319 · median $22,301 5 plans
334 RECTAL RESECTION WITHOUT CC/MCC $13,357 – $21,320 · median $17,404 5 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $13,357 – $46,575 · median $38,020 5 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $13,357 – $34,635 · median $28,273 5 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $13,357 – $19,136 · median $15,621 5 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $13,067 – $16,007 · median $13,357 5 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $13,357 – $30,423 · median $24,835 5 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $13,357 – $31,090 · median $25,379 5 plans
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,570 – $14,441 · median $13,357 5 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $13,357 – $37,701 · median $30,776 5 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $13,357 – $54,831 · median $44,760 5 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,357 – $28,947 · median $23,630 5 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,357 – $17,419 · median $14,219 5 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $9,436 – $24,735 · median $20,192 5 plans
381 COMPLICATED PEPTIC ULCER WITH CC $9,436 – $13,999 · median $11,428 5 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,862 – $10,201 · median $9,436 5 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,436 – $16,250 · median $13,265 5 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $9,436 – $21,286 · median $17,376 5 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,678 – $10,201 · median $8,180 5 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $13,357 – $69,781 · median $56,963 5 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $13,357 – $36,099 · median $29,469 5 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $13,357 – $27,454 · median $22,411 5 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,357 – $45,006 · median $36,739 5 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,357 – $26,948 · median $21,999 5 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH $13,357 – $19,938 · median $16,276 5 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,357 – $35,174 · median $28,713 5 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $13,357 – $27,400 · median $22,367 5 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $13,357 – $21,370 · median $17,445 5 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $13,357 – $30,548 · median $24,937 5 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $13,357 – $21,317 · median $17,402 5 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $13,357 – $16,936 · median $13,826 5 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $13,357 – $21,050 · median $17,183 5 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $13,357 – $18,888 · median $15,418 5 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $13,357 – $52,282 · median $42,679 5 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $13,357 – $29,350 · median $23,959 5 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $13,357 – $19,870 · median $16,220 5 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $9,436 – $24,299 · median $19,836 5 plans
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,436 – $21,651 · median $17,674 5 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $40,559 – $69,424 · median $56,673 5 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $30,940 – $43,848 · median $37,901 5 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE $18,217 – $43,848 · median $22,316 5 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $13,357 – $57,646 · median $47,058 5 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,357 – $27,730 · median $22,637 5 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC $12,204 – $14,951 · median $13,357 5 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,357 – $44,205 · median $36,085 5 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $13,357 – $30,060 · median $24,539 5 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,357 – $22,826 · median $18,634 5 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $30,860 – $37,804 · median $32,333 5 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $21,772 – $34,955 · median $26,671 5 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $16,646 – $34,955 · median $20,392 5 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $13,357 – $32,755 · median $26,738 5 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $20,505 – $41,381 · median $33,780 5 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $20,505 – $27,262 · median $22,255 5 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $16,581 – $22,168 · median $20,312 5 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,758 – $45,647 · median $37,263 5 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $19,784 – $24,603 · median $22,758 5 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC $13,357 – $32,455 · median $26,494 5 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT $12,180 – $14,921 · median $13,357 5 plans
500 SOFT TISSUE PROCEDURES WITH MCC $13,357 – $40,731 · median $33,249 5 plans
506 MAJOR THUMB OR JOINT PROCEDURES $13,357 – $19,269 · median $15,730 5 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $20,338 – $24,914 · median $21,858 5 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $13,542 – $23,630 · median $16,589 5 plans
509 ARTHROSCOPY $13,357 – $22,581 · median $18,433 5 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $31,999 – $39,750 · median $32,449 5 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $13,847 – $18,422 · median $15,039 5 plans
533 FRACTURES OF FEMUR WITH MCC $9,436 – $19,601 · median $16,001 5 plans
534 FRACTURES OF FEMUR WITHOUT MCC $8,541 – $10,463 · median $9,436 5 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,436 – $17,095 · median $13,955 5 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $8,509 – $10,423 · median $9,436 5 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $9,436 – $11,813 · median $9,643 5 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $7,046 – $10,201 · median $8,631 5 plans
539 OSTEOMYELITIS WITH MCC $9,436 – $25,996 · median $21,221 5 plans
540 OSTEOMYELITIS WITH CC $9,436 – $16,634 · median $13,579 5 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $9,180 – $11,246 · median $9,436 5 plans
548 SEPTIC ARTHRITIS WITH MCC $9,436 – $25,896 · median $21,139 5 plans
549 SEPTIC ARTHRITIS WITH CC $9,436 – $15,490 · median $12,645 5 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $9,046 – $11,081 · median $9,436 5 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,436 – $16,787 · median $13,704 5 plans
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $8,757 – $10,728 · median $9,436 5 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,436 – $23,861 · median $19,478 5 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,436 – $14,637 · median $11,948 5 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $8,579 – $10,509 · median $9,436 5 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $9,436 – $18,812 · median $15,357 5 plans
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT $9,379 – $11,489 · median $9,436 5 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $9,436 – $20,171 · median $16,466 5 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $9,436 – $13,107 · median $10,700 5 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $7,850 – $10,201 · median $9,436 5 plans
570 SKIN DEBRIDEMENT WITH MCC $13,357 – $38,693 · median $31,586 5 plans
571 SKIN DEBRIDEMENT WITH CC $13,357 – $21,522 · median $17,568 5 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $11,987 – $14,684 · median $13,357 5 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $13,357 – $79,158 · median $64,618 5 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $13,357 – $44,538 · median $36,357 5 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,357 – $25,666 · median $20,951 5 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $13,357 – $69,351 · median $56,613 5 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $13,357 – $41,896 · median $34,201 5 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $13,357 – $22,790 · median $18,604 5 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,357 – $18,500 · median $15,102 5 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $13,357 – $22,510 · median $18,375 5 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,357 – $26,317 · median $21,483 5 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $13,357 – $25,517 · median $20,830 5 plans
592 SKIN ULCERS WITH MCC $9,436 – $26,432 · median $21,577 5 plans
593 SKIN ULCERS WITH CC $9,436 – $15,717 · median $12,830 5 plans
594 SKIN ULCERS WITHOUT CC/MCC $8,905 – $10,909 · median $9,436 5 plans
595 MAJOR SKIN DISORDERS WITH MCC $9,436 – $27,188 · median $22,194 5 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $9,436 – $22,581 · median $18,433 5 plans
598 MALIGNANT BREAST DISORDERS WITH CC $9,436 – $13,868 · median $11,321 5 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $8,970 – $10,989 · median $9,436 5 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,436 – $12,296 · median $10,038 5 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,291 – $10,201 · median $7,706 5 plans
602 CELLULITIS WITH MCC $9,436 – $18,885 · median $15,416 5 plans
603 CELLULITIS WITHOUT MCC $9,242 – $11,322 · median $9,436 5 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $15,590 – $19,101 · median $17,668 5 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $9,692 – $11,873 · median $10,036 5 plans
606 MINOR SKIN DISORDERS WITH MCC $9,436 – $20,699 · median $16,897 5 plans
607 MINOR SKIN DISORDERS WITHOUT MCC $9,068 – $11,108 · median $9,436 5 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $13,357 – $29,294 · median $23,914 5 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,357 – $18,420 · median $15,037 5 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,357 – $49,681 · median $40,555 5 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,357 – $24,829 · median $20,268 5 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH $13,065 – $16,005 · median $13,357 5 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,357 – $48,100 · median $39,265 5 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $13,357 – $24,587 · median $20,071 5 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISOR $10,526 – $14,441 · median $12,894 5 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $13,357 – $36,854 · median $30,085 5 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,294 – $16,285 · median $13,357 5 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $13,357 – $50,718 · median $41,402 5 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $13,357 – $28,910 · median $23,600 5 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $13,357 – $18,012 · median $14,704 5 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU $8,199 – $10,201 · median $9,436 5 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,436 – $15,953 · median $13,023 5 plans
643 ENDOCRINE DISORDERS WITH MCC $9,436 – $21,303 · median $17,390 5 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $13,357 – $71,656 · median $58,494 5 plans
654 MAJOR BLADDER PROCEDURES WITH CC $13,357 – $36,275 · median $29,612 5 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,357 – $26,702 · median $21,797 5 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $13,357 – $41,878 · median $34,186 5 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,357 – $23,498 · median $19,182 5 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $15,782 – $19,332 · median $17,446 5 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $27,117 – $47,373 · median $33,219 5 plans
662 MINOR BLADDER PROCEDURES WITH MCC $13,357 – $40,099 · median $32,734 5 plans
663 MINOR BLADDER PROCEDURES WITH CC $13,357 – $19,633 · median $16,027 5 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $11,330 – $14,441 · median $13,357 5 plans
665 PROSTATECTOMY WITH MCC $13,357 – $44,136 · median $36,029 5 plans
666 PROSTATECTOMY WITH CC $13,357 – $21,174 · median $17,285 5 plans
667 PROSTATECTOMY WITHOUT CC/MCC $10,785 – $14,441 · median $13,211 5 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $13,357 – $37,486 · median $30,601 5 plans
671 URETHRAL PROCEDURES WITH CC/MCC $13,357 – $22,156 · median $18,087 5 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,484 – $14,441 · median $13,357 5 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $13,357 – $53,853 · median $43,962 5 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $13,357 – $29,672 · median $24,222 5 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $13,357 – $20,120 · median $16,425 5 plans
682 RENAL FAILURE WITH MCC $9,436 – $19,305 · median $15,759 5 plans
683 RENAL FAILURE WITH CC $9,327 – $11,426 · median $9,436 5 plans
684 RENAL FAILURE WITHOUT CC/MCC $6,373 – $10,201 · median $7,808 5 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $9,436 – $24,239 · median $19,787 5 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $9,436 – $13,531 · median $11,046 5 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $7,599 – $10,201 · median $9,309 5 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $8,422 – $10,317 · median $9,436 5 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,436 – $14,497 · median $11,834 5 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,259 – $10,201 · median $8,892 5 plans
697 URETHRAL STRICTURE $9,436 – $12,877 · median $10,512 5 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $9,436 – $13,110 · median $10,702 5 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,284 – $10,201 · median $8,923 5 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $20,363 – $27,124 · median $24,945 5 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $15,556 – $25,152 · median $19,056 5 plans
711 TESTES PROCEDURES WITH CC/MCC $13,357 – $24,559 · median $20,048 5 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $11,223 – $14,441 · median $13,357 5 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,357 – $29,028 · median $23,696 5 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,357 – $18,244 · median $14,893 5 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $13,357 – $23,851 · median $19,470 5 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $12,926 – $15,835 · median $13,357 5 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $9,436 – $22,223 · median $18,141 5 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $9,436 – $14,434 · median $11,783 5 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,645 – $10,201 · median $9,365 5 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,436 – $16,230 · median $13,249 5 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $7,811 – $10,201 · median $9,436 5 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,436 – $18,888 · median $15,418 5 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $8,574 – $10,503 · median $9,436 5 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $9,436 – $14,151 · median $11,552 5 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,368 – $10,201 · median $7,801 5 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $13,357 – $27,029 · median $22,065 5 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,738 – $15,604 · median $13,357 5 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $13,357 – $50,614 · median $41,317 5 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,357 – $25,687 · median $20,969 5 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,357 – $19,498 · median $15,917 5 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $10,753 – $14,441 · median $13,173 5 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $13,357 – $21,525 · median $17,572 5 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $10,023 – $14,441 · median $12,278 5 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $13,357 – $33,274 · median $27,162 5 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,357 – $16,575 · median $13,531 5 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $9,436 – $23,257 · median $18,985 5 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $13,357 – $17,861 · median $14,580 5 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $7,487 – $10,201 · median $9,171 5 plans
779 ABORTION WITHOUT D&C $9,436 – $12,016 · median $9,809 5 plans
799 SPLENIC PROCEDURES WITH MCC $13,357 – $61,118 · median $49,892 5 plans
800 SPLENIC PROCEDURES WITH CC $13,357 – $37,454 · median $30,575 5 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $13,357 – $21,102 · median $17,226 5 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $13,357 – $46,079 · median $37,615 5 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,357 – $22,880 · median $18,678 5 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,601 – $14,441 · median $13,357 5 plans
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,436 – $29,440 · median $24,032 5 plans
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,436 – $15,920 · median $12,996 5 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND CO $9,436 – $12,234 · median $9,987 5 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $9,436 – $11,863 · median $9,684 5 plans
813 COAGULATION DISORDERS $9,436 – $19,898 · median $16,243 5 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $9,436 – $26,871 · median $21,936 5 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,436 – $13,061 · median $10,662 5 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,919 – $10,201 · median $8,476 5 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $13,357 – $74,840 · median $61,093 5 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $13,357 – $28,695 · median $23,425 5 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $12,001 – $14,701 · median $13,357 5 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $13,357 – $60,150 · median $49,102 5 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $13,357 – $28,271 · median $23,078 5 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,915 – $15,821 · median $13,357 5 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,357 – $61,384 · median $50,109 5 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,357 – $30,334 · median $24,762 5 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. $13,357 – $20,604 · median $16,819 5 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $13,357 – $39,639 · median $32,358 5 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCE $13,357 – $18,799 · median $15,346 5 plans
834 ACUTE LEUKEMIA WITH MCC $9,436 – $71,048 · median $57,998 5 plans
835 ACUTE LEUKEMIA WITH CC $9,436 – $27,455 · median $22,412 5 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,436 – $16,334 · median $13,334 5 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOT $9,436 – $64,363 · median $52,541 5 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHE $9,436 – $26,071 · median $21,282 5 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,436 – $17,615 · median $14,380 5 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $9,436 – $40,991 · median $33,462 5 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,436 – $24,337 · median $19,866 5 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $9,436 – $15,363 · median $12,541 5 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES $8,781 – $10,756 · median $9,436 5 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $9,436 – $32,827 · median $26,797 5 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,436 – $16,334 · median $13,334 5 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,593 – $10,526 · median $9,436 5 plans
849 RADIOTHERAPY $9,436 – $34,334 · median $28,028 5 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $13,357 – $118,410 · median $96,661 5 plans
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $9,436 – $23,635 · median $19,294 5 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,436 – $12,853 · median $10,492 5 plans
864 FEVER AND INFLAMMATORY CONDITIONS $9,423 – $11,543 · median $9,436 5 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $9,436 – $27,563 · median $22,500 5 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $9,436 – $13,498 · median $11,019 5 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $7,551 – $10,201 · median $9,250 5 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $13,357 – $50,511 · median $41,233 5 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $9,436 – $12,322 · median $10,059 5 plans
881 DEPRESSIVE NEUROSES $9,436 – $11,750 · median $9,592 5 plans
882 NEUROSES EXCEPT DEPRESSIVE $9,436 – $12,366 · median $10,094 5 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $9,436 – $23,830 · median $19,453 5 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $9,436 – $21,469 · median $17,525 5 plans
885 PSYCHOSES $9,436 – $18,119 · median $14,791 5 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,436 – $23,092 · median $18,851 5 plans
887 OTHER MENTAL DISORDER DIAGNOSES $9,436 – $15,289 · median $12,480 5 plans
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $6,549 – $10,201 · median $8,022 5 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $9,436 – $18,611 · median $15,193 5 plans
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $9,436 – $22,890 · median $18,686 5 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $9,257 – $11,340 · median $9,436 5 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $13,357 – $56,950 · median $46,489 5 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,357 – $24,392 · median $19,912 5 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,792 – $15,670 · median $13,357 5 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $13,357 – $49,631 · median $40,515 5 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $13,357 – $21,186 · median $17,295 5 plans
906 HAND PROCEDURES FOR INJURIES $13,357 – $28,054 · median $22,901 5 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $13,357 – $51,207 · median $41,801 5 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,357 – $25,928 · median $21,165 5 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $13,308 – $16,303 · median $13,357 5 plans
913 TRAUMATIC INJURY WITH MCC $9,436 – $20,802 · median $16,981 5 plans
914 TRAUMATIC INJURY WITHOUT MCC $9,436 – $11,779 · median $9,616 5 plans
915 ALLERGIC REACTIONS WITH MCC $9,436 – $22,339 · median $18,236 5 plans
916 ALLERGIC REACTIONS WITHOUT MCC $6,968 – $10,201 · median $8,536 5 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $9,436 – $21,077 · median $17,205 5 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $9,282 – $11,371 · median $9,436 5 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $9,436 – $23,441 · median $19,135 5 plans
920 COMPLICATIONS OF TREATMENT WITH CC $9,436 – $13,058 · median $10,660 5 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $7,216 – $10,201 · median $8,840 5 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,436 – $21,716 · median $17,727 5 plans
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $9,436 – $13,110 · median $10,702 5 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $13,357 – $85,851 · median $70,082 5 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $13,357 – $40,799 · median $33,305 5 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $13,357 – $27,140 · median $22,155 5 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/ $13,357 – $25,121 · median $20,507 5 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,436 – $16,533 · median $13,496 5 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $8,337 – $10,213 · median $9,436 5 plans
949 AFTERCARE WITH CC/MCC $9,436 – $13,870 · median $11,322 5 plans
950 AFTERCARE WITHOUT CC/MCC $6,150 – $10,201 · median $7,534 5 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,950 – $10,201 · median $7,288 5 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $71,649 – $87,771 · median $72,301 5 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $40,108 – $52,246 · median $48,328 5 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $78,322 – $95,945 · median $85,279 5 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $43,124 – $56,026 · median $51,824 5 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $27,742 – $36,840 · median $33,985 5 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $28,506 – $40,914 · median $34,921 5 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $15,741 – $21,509 · median $19,282 5 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $9,576 – $13,790 · median $11,731 5 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $13,357 – $81,293 · median $66,361 5 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $13,357 – $34,106 · median $27,841 5 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $9,436 – $38,385 · median $31,334 5 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $9,436 – $18,271 · median $14,915 5 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,436 – $12,893 · median $10,525 5 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $9,436 – $18,534 · median $15,130 5 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,357 – $61,107 · median $49,883 5 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,357 – $31,471 · median $25,690 5 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $13,357 – $21,443 · median $17,504 5 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $13,357 – $45,024 · median $36,754 5 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $13,357 – $22,058 · median $18,006 5 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $12,125 – $14,853 · median $13,357 5 plans
471 CERVICAL SPINAL FUSION WITH MCC $30,274 – $35,832 · median $31,969 4 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $16,867 – $35,046 · median $28,609 4 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $16,757 – $20,528 · median $16,812 4 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $15,339 – $18,790 · median $16,103 4 plans
693 URINARY STONES WITH MCC $7,144 – $18,901 · median $15,429 4 plans
694 URINARY STONES WITHOUT MCC $7,144 – $10,044 · median $8,199 4 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,445 – $9,607 · median $7,842 4 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $295,570 – $362,075 · median $295,570 3 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $115,630 – $141,647 · median $115,630 3 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $111,744 – $136,887 · median $111,744 3 plans
006 LIVER TRANSPLANT WITHOUT MCC $50,883 – $62,332 · median $50,883 3 plans
007 LUNG TRANSPLANT $137,131 – $167,986 · median $137,131 3 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $137,477 – $168,411 · median $137,477 3 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $63,335 – $77,586 · median $63,335 3 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $63,335 – $77,586 · median $63,335 3 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $395,720 – $484,760 · median $395,720 3 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH $235,669 – $254,777 · median $245,223 2 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC — 2 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 2 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $13,357 – $14,441 · median $13,899 2 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $9,436 – $10,201 · median $9,819 2 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $9,436 – $10,201 · median $9,819 2 plans
935 NON-EXTENSIVE BURNS $9,436 – $10,201 · median $9,819 2 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $275,595 – $275,595 · median $275,595 1 plans
010 PANCREAS TRANSPLANT $275,595 – $275,595 · median $275,595 1 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $275,595 – $275,595 · median $275,595 1 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $196,853 – $196,853 · median $196,853 1 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $196,853 – $196,853 · median $196,853 1 plans
652 KIDNEY TRANSPLANT $196,853 – $196,853 · median $196,853 1 plans
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $2,375 – $2,375 · median $2,375 1 plans
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $2,375 – $2,375 · median $2,375 1 plans
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $2,375 – $2,375 · median $2,375 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS — 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,445 – $2,445 · median $2,445 1 plans
795 NORMAL NEWBORN $1,639 – $1,639 · median $1,639 1 plans
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